Blood-sparing surgical techniques and perioperative medical management allow for complex cardiovascular surgery for patients who refuse blood transfusion. We describe here successful surgical treatment of a ruptured isolated internal iliac artery aneurysm in a Jehovah’s Witness patient who was suffering from renal dysfunction, shock, and chronic heart failure and was not a candidate for endovas...

Visceral arterial aneurysm is an uncommon form of vascular disease that has a significant potential for rupture or erosion into an adjacent viscera, resulting in life-threatening hemorrhage. Superior mesenteric artery (SMA) aneurysms are especially rare, comprising only 5-8% of all visceral arterial aneurysms. Traditionally, the most common treatment for SMA aneurysms has been simple surgical l...

By using measurements of cerebral blood flow and internal carotid artery pressure it is possible to select patients in whom carotid ligation can be performed with a very low risk of post-operative cerebral ischaemia. A study has been carried out in 100 patients comparing this method with clinical predictions of the type used in aneurysm surgery based on age of the patient, arterial hypertension...

Visual field loss was the presenting symptom in 19 patients with large intracranial aneurysms of the carotid system. Location of the aneurysm was cavernous, carotid-ophthalmic (two), supraclinoid (nine), anterior communicating (six). Other features were pain and a long history of fluctuating visual loss. Cavernous or carotid-ophthalmic aneurysms mostly caused purely uniocular field loss consist...

True isolated atherosclerotic aneurysm of the superficial femoral artery is a rare pathology. We report a case of ruptured superficial femoral artery aneurysms (SFAA) not associated with aortic, common femoral or popliteal artery aneurysms. An emergency surgical procedure was performed and, after endoaneurysmal branches ligation, a ePTFE graft interposition was performed. The literature review ...

Aneurysms and pseudoaneurysms of the internal mammary artery (IMA) are rare and the etiology uncertain although iatrogenic causes have been described. A 64-year-old woman suffered hematoma and bleeding from a pseudoaneurysm probably originating from a branch of the right IMA 16 years after breast implant surgery. After clinical assessment, the patient underwent surgery with resection of the ane...

A case of asymptomatic right gastroepiploic artery and vein aneurysms with an arteriovenous (AV) fistula coexisting with an abdominal aortic aneurysm (AAA) is presented. A 68-year-old man was referred for treatment of AAA (6 cm in diameter) and he was incidentally diagnosed as having right gastroepiploic artery and venous aneurysms (3 cm and 8 cm in diameter, respectively) with an AV fistula. R...